Chapter 4032 [121] Attempt
Look, even if you are familiar with the patient's medical history, doctors still tend to forget it at critical junctures.
The importance of doing work step by step is to allow you to maintain a clear thinking and avoid making low-level mistakes.
As Dr. Xie Wanying emphasized, wait, it is actually the professional habit of step by step as a doctor for two lifetimes. The so-called strong aura of the boss is all produced in this way.
Dr. Zhang Desheng, who re-examined the patient, was confused again.
The reason is that he remembered that before performing cardiopulmonary resuscitation on the patient, he must have checked the patient's pupils first.
The patient’s pupils did not have such obvious signs as one big and one small, which can only prove that there may be no cerebral hemorrhage and cerebral infarction, but it does not mean that there is no brain tumor.
Sudden cardiac and respiratory arrest of the patient is a state of shock.
Rescuing patients without machine-assisted inspection is simply too difficult a science.
The bewildered Dr. Zhang Desheng looked at Dr. Xie Wanying.
According to Dr. Xie's previous performance, it is possible to judge the problem with a high probability of the patient.
What Dr. Xie struggled with was what she said before: the use of rescue medication.
It’s not that you can get through the crisis safely if you see the cause and know how to use medication. The most difficult thing is to use medication.
Many medications in Western medicine are highly targeted, but they are so targeted that doctors do not know how to use them on patients with complex conditions.
Like the current patient, in the eyes of Dr. Xie, the preliminary judgment is that the patient's brain has recurrent tumors and he should be cautious in pushing vasopressors.
The patient has gastrointestinal bleeding, which is one of the reasons for the patient's shock.
Gastrointestinal bleeding may be due to gastroduodenal stress ulcer caused by brain tumor. The specific pathogenesis is that central nervous system problems lead to excessive secretion of gastric juice, and excessive gastric juice damages the patient's own digestive tract mucosa, leading to ulcers or even bleeding and perforation.
The patient's feet showed signs of acute edema.
Bleeding requires fluid rehydration, and edema requires diuresis. How do you balance this?
Blood draws for laboratory tests to obtain a bunch of index data also need to be discussed. Ninety-nine percent of such complicated situations need to invite experts from various specialties to discuss and discuss for a long time. Moreover, whether the plan reached by the bosses after the quarrel is feasible or not needs to be verified again.
The patient's heartbeat stops at any time, so where is the time wasted.
In medicine, the way to solve problems with all walks of life, order is very important.
Is Dr. Duan here?
Dr. Duan would not be able to come up with a plan before he got the Western medicine data.
Perhaps Dr. Duan will make the same choice as her Dr. Xie, why not ask a big doctor of traditional Chinese medicine.
Dr. Wen Zihan's traditional Chinese medicine theory based on clinical experience is very accurate in judging the patient's condition and development trend.
"Are you sure she started getting sick in the afternoon? Did she have any other symptoms before she fainted?" Dr. Wen Zihan asked.
Family members desperately remember.
"Five o'clock in the afternoon?" Aki's mother said.
"I remember you said that it was not five o'clock when you told Dr. Tao." Axi's father reminded his wife.
"It was my younger sister who was looking for my older sister. I went to see her and found out that she was fainted on the ground."
"What time?"
"Maybe three, four, five? My sister and I were taking a nap."
Never expect family members to account for all patients.
It doesn't matter, Chinese medicine has long known this. The reason why the description of Chinese medicine often makes people feel mysterious is because it is not specific to the minute and second.
Dr. Wen Zihan said again, thanking his sister first: "Dr. Xie is right, this patient has a chance to be saved."
Regardless of the research conclusions of Chinese and Western medicine, most patients die at night. The reason is not just that it is difficult to find the death of the patient at night, and there are nurses patrolling the hospital at night.
Accurately use the rescue, critically ill patients have a high chance of being pulled back during the day.
According to the theory of traditional Chinese medicine, a certain dose of diuretic can be the first choice to try.
Thank you for your support, good night, dear~
(end of this chapter)
